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Sureyya Dikmen - One of the best experts on this subject based on the ideXlab platform.

  • functional status examination yields higher measurement precision of functional limitations after traumatic injury than the Glasgow Outcome Scale extended a preliminary study
    Journal of Neurotrauma, 2020
    Co-Authors: Lindsay D Nelson, Geoffrey T Manley, Nancy R Temkin, Benjamin L Brett, Brooke E Magnus, Steve Balsis, Michael Mccrea, Sureyya Dikmen
    Abstract:

    The Glasgow Outcome Scale-Extended (GOSE) is one of the most widely used measures of functional limitations after traumatic brain injury (TBI), and is the primary Outcome measure used in clinical t...

  • functional status examination versus Glasgow Outcome Scale extended as Outcome measures in traumatic brain injuries how do they compare
    Journal of Neurotrauma, 2019
    Co-Authors: Sureyya Dikmen, Joan Machamer, Geoffrey T Manley, Lindsay D Nelson, Nancy R Temkin
    Abstract:

    Abstract Outcome measures are essential components of natural history studies of recovery and treatment effects after traumatic brain injury (TBI). The Glasgow Outcome Scale (GOS) and its revised v...

  • a comparison of satisfaction with life and the Glasgow Outcome Scale extended after traumatic brain injury an analysis of the track tbi pilot study
    Journal of Head Trauma Rehabilitation, 2019
    Co-Authors: Natalie Kreitzer, Sureyya Dikmen, Geoffrey T Manley, Kimberly W Hart, Christopher J Lindsell, Jonathan J Ratcliff, Opeolu Adeoye
    Abstract:

    OBJECTIVE: To evaluate the relationship between satisfaction with life (SWL) and functional Outcome after traumatic brain injury (TBI). SETTING AND PARTICIPANTS: The Transforming Research and Clinical Knowledge in Traumatic Brain Injury Pilot study (TRACK-TBI Pilot) enrolled patients at 3 US Level I trauma centers within 24 hours of TBI. DESIGN: Patients were grouped by Outcome measure concordance (good-recovery/good-satisfaction, impaired-recovery/impaired-satisfaction) and discordance (good-recovery/impaired-satisfaction, impaired-recovery/good-satisfaction). Logistic regression was utilized to determine predictors of discordance. MAIN MEASURES: Functional Outcome: Glasgow Outcome Scale-Extended (GOSE); SWL: Satisfaction with Life Scale (SWLS). RESULTS: Of the 586 enrolled subjects, 298 had completed both Outcome measures at 6-month follow-up; the correlation between GOSE and SWLS was 0.380. Patients with impaired-recovery (GOSE < 7)/impaired-satisfaction (SWLS < 20) were more likely to have mild TBI (83% vs 62%, P = .012), baseline depression (42% vs 15%, P < .0001), and 6-month depression (59% vs 21%, P < .0001) when compared with patients with impaired-recovery/good-satisfaction. Patients with good-recovery/impaired-satisfaction were more likely to have baseline depression (31% vs 13%, P < .0001) and 6-month depression (33% vs 6%, P < .0001) compared with good-recovery/good-satisfaction. CONCLUSION: Correlation between SWL and functional Outcome was not strong, and depression may modulate the association. Future research should account for functional, mental health, and patient-centered Outcomes when assessing TBI recovery.

  • Functional Status Examination in Patients with Moderate-to-Severe Traumatic Brain Injuries.
    Journal of Neurotrauma, 2018
    Co-Authors: Joan Machamer, Geoffrey T Manley, Nancy R Temkin, Sureyya Dikmen
    Abstract:

    Abstract The assessment of functional status after traumatic brain injury (TBI) is important. The Glasgow Outcome Scale (GOS) and its revised version, the Glasgow Outcome Scale Extended (GOSE), hav...

  • functional Outcome Scales in traumatic brain injury a comparison of the Glasgow Outcome Scale extended and the functional status examination
    Journal of Neurotrauma, 2005
    Co-Authors: Anne M Hudak, Sureyya Dikmen, Nancy R Temkin, Ruth R Caesar, Alan B Frol, Kim Krueger, Caryn R Harper, Mary Carlile, Christopher J Madden, Ramon Diazarrastia
    Abstract:

    Clinical trials aimed at developing therapies for traumatic brain injury (TBI) require Outcome measures that are reliable, validated, and easily administered. The most widely used of these measures, the Glasgow Outcome Scale (GOS) and the GOS-Extended (GOS-E), have been criticized as suffering from ceiling effects. In an attempt to develop a more useful and dynamic Outcome measure, the Functional Status Examination (FSE) was developed, which grades Outcome across 10 functional domains. The FSE has been demonstrated to be reliable and sensitive in monitoring recovery after TBI. This manuscript compares FSE with GOS-E in a cohort of patients with a wide range of injury severities. 177 individuals who survived at least 6 months after TBI were studied. The FSE and GOS-E were administered 6–12 months after injury. FSE and GOS-E scores correlated well with each other. FSE scores were distributed throughout the range, indicating that ceiling and floor effects were not present. Physiologic measures of injury seve...

G M Teasdale - One of the best experts on this subject based on the ideXlab platform.

  • the Glasgow Outcome Scale 40 years of application and refinement
    Nature Reviews Neurology, 2016
    Co-Authors: T M Mcmillan, Harvey S. Levin, G M Teasdale, J Lindsay T Wilson, Jennie Ponsford, Michael R Bond
    Abstract:

    The Glasgow Outcome Scale (GOS) was first published in 1975 by Bryan Jennett and Michael Bond. With over 4,000 citations to the original paper, it is the most highly cited Outcome measure in studies of brain injury and the second most-cited paper in clinical neurosurgery. The original GOS and the subsequently developed extended GOS (GOSE) are recommended by several national bodies as the Outcome measure for major trauma and for head injury. The enduring appeal of the GOS is linked to its simplicity, short administration time, reliability and validity, stability, flexibility of administration (face-to-face, over the telephone and by post), cost-free availability and ease of access. These benefits apply to other derivatives of the Scale, including the Glasgow Outcome at Discharge Scale (GODS) and the GOS paediatric revision. The GOS was devised to provide an overview of Outcome and to focus on social recovery. Since the initial development of the GOS, there has been an increasing focus on the multidimensional nature of Outcome after head injury. This Review charts the development of the GOS, its refinement and usage over the past 40 years, and considers its current and future roles in developing an understanding of brain injury.

  • reliability of postal questionnaires for the Glasgow Outcome Scale
    Journal of Neurotrauma, 2002
    Co-Authors: J T L Wilson, Phil Edwards, H Fiddes, Elaine Stewart, G M Teasdale
    Abstract:

    The purpose of the study was to investigate if a questionnaire sent by mail can give a reliable assessment of Outcome on the Glasgow Outcome Scale. A questionnaire was developed for the Glasgow Out...

  • emotional and cognitive consequences of head injury in relation to the Glasgow Outcome Scale
    Journal of Neurology Neurosurgery and Psychiatry, 2000
    Co-Authors: J T L Wilson, L E L Pettigrew, G M Teasdale
    Abstract:

    OBJECTIVE There is current debate over the issue of the best way of assessing Outcome after head injury. One criticism of Scales of disability and handicap such as the Glasgow Outcome Scale (GOS) is that they fail to capture the subjective perspective of the person with head injury. The aims of the study were to investigate aspects of the validity of structured interviews for the GOS, and address the issue of the relation between the GOS and subjective reports of health Outcome. METHODS A total of 135 patients with head injury were assessed using the GOS and an extended GOS (GOSE) and other measures of Outcome and clinical status at 6 months after injury. RESULTS There were robust correlations between the GOS and measures of initial injury severity (particularly post-traumatic amnesia) and Outcome assessed by disability Scales (particularly the disbility rating Scale (DRS)); however, associations with cognitive tests were generally modest. There were also strong correlations with self report measures of health Outcome: both the GOS and GOSE were related to depression measured by the Beck depression inventory, mental wellbeing assessed by the general health questionnaire, and to all subScales of the short form-36. The GOS Scales were also strongly associated with frequency of reported symptoms and problems on the neurobehavioural functioning inventory. CONCLUSIONS The GOS and GOSE show consistent relations with other Outcome measures including subjective reports of health Outcome; they thus remain useful overall summary assessments of Outcome of head injury.

  • structured interviews for the Glasgow Outcome Scale and the extended Glasgow Outcome Scale guidelines for their use
    Journal of Neurotrauma, 1998
    Co-Authors: J T L Wilson, L E L Pettigrew, G M Teasdale
    Abstract:

    ABSTRACT The Glasgow Outcome Scale (GOS) is the most widely used Outcome measure after traumatic brain injury, but it is increasingly recognized to have important limitations. It is proposed that shortcomings of the GOS can be addressed by adopting a standard format for the interview used to assign Outcome. A set of guidelines are outlined that are directed at the main problems encountered in applying the GOS. The guidelines cover the general principles underlying the use of the GOS and common practical problems of applying the Scale. Structured interview schedules are described for both the five-point GOS and an extended eight-point GOS (GOSE). An interrater reliability study of the structured interviews for the GOS and GOSE yielded weighted kappa values of 0.89 and 0.85, respectively. It is concluded that assessment of the GOS using a standard format with a written protocol is practical and reliable.

  • analyzing Outcome of treatment of severe head injury a review and update on advancing the use of the Glasgow Outcome Scale
    Journal of Neurotrauma, 1998
    Co-Authors: G M Teasdale, Gordon D Murray, J T L Wilson, L E L Pettigrew, Bryan Jennett
    Abstract:

    ABSTRACT The Glasgow Outcome Scale (GOS), two decades after its description, remains the most widely used method of analyzing Outcome in series of severely head-injured patients. This review considers limitations recognized in the use of the GOS and discusses a new approach to assessment, using a structured questionnaire-based interview. Assignments can be made to an extended eight-point Scale (GOSE) as well as the original five-point approach—in each case, with a high degree of interobserver consistency. The assignments are coherent with the principles of the World Health Organization classification of impairments, disabilities, and handicaps, and their validity is supported by strong associations with the results of neuropsychological testing and assessment of general health status. The need to allow for disability existing before injury, issues concerning the time of assessment after injury, and subdivisions of the Scale into "favorable" and "unfavorable" categories are discussed. It is concluded that,...

Nancy R Temkin - One of the best experts on this subject based on the ideXlab platform.

Geoffrey T Manley - One of the best experts on this subject based on the ideXlab platform.

Abdus Salam - One of the best experts on this subject based on the ideXlab platform.

  • Correlation of Glasgow Outcome Scale (GOS) and Haematoma Volume during Surgical and Conservative Management of Spontaneous Supratentorial Intracerebral Hemorrhage Patients
    Journal of Science Foundation, 2020
    Co-Authors: Mohammad Rafiqul Islam, Mohammad Ashraful Haque, Khaled Ahmedur Rahman, Mohammad Mahfuzur Rahman, Moazzam Hossain Talukder, Abm Ruhul Amin, Abdus Salam
    Abstract:

    Background: Haematoma volume is an important issue for the management of spontaneous supratentorial intracerebral hemorrhage patients. Objective: The purpose of the present study was to correlate the Glasgow Outcome Scale (GOS) and haematoma volume during surgical and conservative management of spontaneous supratentorial intracerebral hemorrhage patients. Methodology: This randomized control trial which was conducted in the Department of Neurosurgery at Dhaka Medical College and Hospital from January 2010 to October 2011 for a period of one year and ten months. All hypertensive patients with spontaneous supratentorial intracerebral hemorrhage who were admitted within 48 hours of stroke in Neurosurgery Department during the study period were considered as a study population. Patients underwent surgery was considered as group I and patients those who did not give the consent for operation were treated conservatively was considered as group II. Surgery and conservative groups were matched in age, GCS, GOS, hematoma location and volume of hematoma. Result: A total of 31 patients were enrolled in this study of which 14 patients underwent surgical evacuation and 17 cases were selected for conservative therapy. Significant negative correlation was found between GCS on admission with hematoma volume in surgery group (r=-0.631; P=0.016) and conservative group (r=- 0.854; p=0.001). A negative but not significant correlation (r=-0.426; P=0.129) between GOS with hematoma volume in group I, where negative significant correlation (r=-0.503; P=0.039) in conservative group II. Conclusion: In conclusion Glasgow Outcome Scale (GOS) is positively correlated with the haematoma volume during surgical and conservative management of spontaneous supratentorial intracerebral hemorrhage patients Journal of Science Foundation 2019;17(1):9-14

  • Comparison of Glasgow Outcome Scale (GOS) and Glasgow Coma Scale (GCS) between Surgical and Conservative Management of Spontaneous Supratentorial Intracerebral Hemorrhage Patients: A Randomized Control Trial
    Journal of Current and Advance Medical Research, 2018
    Co-Authors: Mohammad Rafiqul Islam, Mohammad Mahfuzur Rahman, Moazzam Hossain Talukder, Shafiqul Kabir Khan, Rezaul Karim, Abdus Salam
    Abstract:

    Background: Glasgow Outcome Scale (GOS) and Glasgow Coma Scale (GCS) were the important parameter for the proper management of spontaneous supratentorialintracerebral hemorrhage patients. Objective: The purpose of the present study was to compare the GOS and GCS between surgical and conservative management of spontaneous supratentorialintracerebral hemorrhage patients. Methodology: This randomized control trial was conducted in the Department of Neurosurgery at Dhaka Medical College and Hospital from January 2010 to October 2011 for a period of one year and ten months. All hypertensive patients with spontaneous supratentorial intracerebral hemorrhage who were admitted within 48 hours of stroke in Neurosurgery Department during the study period were considered as a study population. Patients underwent surgery was considered as group I and patients those who did not give the consent for operation were treated conservatively was considered as group II. Result: A total of 31 patients were enrolled in this study of which 14 patients underwent surgical evacuation and 17 patients were selected for conservative therapy. Significant positive correlation was found between the GCS score on admission and GOS at 30 days follow-up in surgery group (r=0.649; p

  • comparison of Glasgow Outcome Scale gos and Glasgow coma Scale gcs between surgical and conservative management of spontaneous supratentorial intracerebral hemorrhage patients a randomized control trial
    Journal of Current and Advance Medical Research, 2018
    Co-Authors: Mohammad Rafiqul Islam, Mohammad Mahfuzur Rahman, Moazzam Hossain Talukder, Shafiqul Kabir Khan, Rezaul Karim, Abdus Salam
    Abstract:

    Background: Glasgow Outcome Scale (GOS) and Glasgow Coma Scale (GCS) were the important parameter for the proper management of spontaneous supratentorialintracerebral hemorrhage patients. Objective: The purpose of the present study was to compare the GOS and GCS between surgical and conservative management of spontaneous supratentorialintracerebral hemorrhage patients. Methodology: This randomized control trial was conducted in the Department of Neurosurgery at Dhaka Medical College and Hospital from January 2010 to October 2011 for a period of one year and ten months. All hypertensive patients with spontaneous supratentorial intracerebral hemorrhage who were admitted within 48 hours of stroke in Neurosurgery Department during the study period were considered as a study population. Patients underwent surgery was considered as group I and patients those who did not give the consent for operation were treated conservatively was considered as group II. Result: A total of 31 patients were enrolled in this study of which 14 patients underwent surgical evacuation and 17 patients were selected for conservative therapy. Significant positive correlation was found between the GCS score on admission and GOS at 30 days follow-up in surgery group (r=0.649; p<0.05). But a positive significant correlation (r=0.613; P=0.020) was between GCS follow up with GCS on admission in surgery patients and (r=0.575; P=0.016) in conservative group. Conclusion: In conclusion both GOS and GCS are essential during the management of surgical and conservative spontaneous supratentorialintracerebral hemorrhage patients. Journal of Current and Advance Medical Research 2018;5(2):49-54